ATI RN PRACTICE EXAMS WITH NGN 2023/2024

ATI RN PRACTICE EXAMS WITH NGN 2023/2024 A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast for 24 hr. Which of the following assessment findings should the nurse identify as a priority? - CORRECT ANSWER-The client's heel is reddened and tender A nurse is providing client education to a postpartum client who has decided to bottle feed the newborn. Which of the following instructions should the nurse include in the teaching to help prevent the discomfort of engorgement? - CORRECT ANSWER-Place ice packs on the breasts for 15 min several times per day A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess the client for which of the following conditions prior to starting the procedure? - CORRECT ANSWER-Latex allergy A nurse is assessing a client who has sickle cell anemia. The nurse should identify which of the following findings as a manifestation of vaso-occlusive crisis? - CORRECT ANSWER-Hematuria A nurse is assessing a client during the immediate postpartum period. Which of the following findings requires immediate intervention by the nurse? - CORRECT ANSWER-Boggy uterus A nurse is assessing a client who has antisocial personality disorder. Which of the following manifestations should the nurse expect? - CORRECT ANSWER-Lack of remorse A nurse is teaching a client who is to start taking misprostol and currently is on longterm therapy with NSAIDs for arthritis. The nurse should provide the client with which of the following information? - CORRECT ANSWER-Complete a serum pregnancy test before taking the medication A nurse is teaching the parents of a preschooler about sleep promotion. The parents report that their child is demonstrating reluctance in going to bed at night and states, "I am not tired." Which of the following statements by the parents indicates an understanding of the teaching? - CORRECT ANSWER-"We should read a story together every night before bedtime." A nurse is caring for a client who has end-stage Alzheimer's disease. The adult child of the client says to the nurse, "I don't know why I bother to visit my mother anymore." Which of the following responses should the nurse make? - CORRECT ANSWER-"It seems like you feel your visits are a waste of time." A community health nurse is assisting with the development of a disaster management plan. The nurse should include which of the following nursing responsibilities in the disaster response stage of the plan? - CORRECT ANSWER-Performing a rapid needs assessment Nurse's Notes 1500: Infant is admitted to the pediatric unit. Parent reports infant has been irritable and has vomited after each feeding within the last 3 days. Infant alert, not crying. S1 and S2 noted without murmurs. Lungs clear to auscultation anterior/posterior. Respirations even, unlabored. Abdomen firm. Bowel sounds hypoactive x4 quadrants. Small 1x1 cm2 mass palpated near umbilicus. Skin warm and dry, turgor with tenting. 1600: Called to room by a parent. Parent attempted breastfeeding. Infant projectile vomited No bile noted in vomit. Some blood-tinged vomitus noted. Instructed parent to keep child NPO. 1800: Infant crying. Soothed with pacifier. Diagnostic Results 1545: Hgb 20g/dL (14-24) Hct 60% (44%-64%) Potassium 5.8mEq/L (3.9-5.9) Na 132mEq/L (134-150) Chloride 110 (96-106) WBC 16,000 (6,200-17,000) BUN 20 (5-18) Creatinine 0.2 (0.1-0.4) 1730: Abdominal ultrasound: Narrowing of pyloric can - CORRECT ANSWER-The infant is at highest risk for developing dehydration, as evidenced by the infant's vomiting. A nurse is providing colostomy care for a client using a two-piece pouching system. Which of the following actions should the nurse take? - CORRECT ANSWER-Place the skin barrier over the stoma and hold it for 30 seconds A nurse is planning care for a client receiving hemodialysis via an established arteriovenous (AV) fistula in the right arm. Which of the following interventions should the nurse include in the client's plan of care? - CORRECT ANSWER-Auscultate the affected extremity for a bruit A nurse is preparing to perform an intermittent urinary catheterization for a client who has urinary retention. Which of the following images indicates the catheter the nurse should use? - CORRECT ANSWERA nurse is planning care for a client who is receiving heparin to treat a deep-vein thrombosis of the left lower leg. Which of the following interventions should the nurse include in the plan of care? - CORRECT ANSWER-Elevate the affected leg The nurse is caring for a client who is on the spinal cord injury (SCI) unit. Nurse's Notes: Day 3 1700: Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool, pale, and dry to touch. Respirations easy and unlabored. Lung sounds diminished in lower lobes. Abdomen soft and non-distended with active bowel sounds. Client passed a small amount of hard formed stool this AM. Indwelling urinary catheter draining clear yellow urine. Deep tendon reflexes (DTR) are biceps 1+, triceps 1+, patella 0, and ankle 0 bilaterally. Client reports pain of 0 on a 0 to 10 scale. Day 4 0600: Client reports increased coughing and shortness of breath. Crackles auscultated in lower lobes bilaterally. Face and neck flushed. Skin warm and moist. Client reports blurred vision and a headache as an 8 on a 0 to 10 pain scale. Abdomen soft and mildly distended. Hypoactive bowel sounds present. Urinary output 300mL over - CORRECT ANSWER-The client is most likely experience manifestations of B.) Autonomic dysreflexia and E.) Pneumonia An assistive personnel (AP) and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene? - CORRECT ANSWER-Places a pillow under the client's right arm A nurse is caring for a toddler who is admitted to the pediatric unit for surgery. Which of the following should the nurse include in the toddler's plan of care? - CORRECT ANSWER-Encourage the parents to bring toys from home A nurse in an emergency department is preparing to discharge a client who has experienced intimate partner violence. Which of the following actions should the nurse take first? - CORRECT ANSWER-Develop a safety plan with the client A nurse is caring for a group of clients. For which of the following events should the nurse complete an incident report? - CORRECT ANSWER-A client's IV pump delivers an inadequate dose of medication A nurse is caring for a client who is receiving a transfusion of packed red blood cells (RBCs) Vital Signs 0900: Temp 36.9 C (98.5 F) HR: 74 RR: 16 BP: 112/68 Pulse ox: 98% 0915: Temp: 36.9 C (98.5 F) HR: 76 RR: 16 BP: 120/68 Pulse Ox: 98% 0930: Temp: 36.9 C (98.5 F) HR: 90 RR: 18 BP: 116/70 Pulse Ox: 98 Diagnostic Results 0800: Hgb 5.6 (12-16) Platelets: 18,000 (150,000-400,000) Nurse's Notes 0900: